Download Psoas Muscle Strain

Psoas Muscle Strain
Anatomy: The psoas major muscle is a large muscle
that is located on the internal surface of the pelvis. This
muscle runs from the front of lower thoracic and lumbar
vertebrae and inserts into the lesser trochanter, which is
a bony prominence on the femur (thigh bone). Before it
reaches its insertion, the tendon of the psoas major joins
with another muscle, the iliacus, to form the iliopsoas.
These muscles work together to flex the hip, or bring
knee up towards the chest. A muscle strain is a tear or
break that causes damage to a muscle or its attaching
tendons.
Causes/ Mechanisms of Injury:
• Due to sudden contraction of hip flexor muscles,
often in a stretched position.
•
Hip osteoarthritis
•
Often occurs during sprinting or kicking activity.
Muscle Strain grades
Grade 1- small number of fibers torn with some pain but
full function
Grade 2- significant number of torn fibers with moderate function loss
Grade 3- all muscle fibers are torn with major loss of function
Symptoms:
• Sharp pain or pulling in front of hip or groin at time of injury
•
Pain when lifting knee toward chest (especially against resistance)
•
Pain during activities such as running, kicking, going up stairs.
•
Swelling, tenderness, bruising along front of hip.
•
Possible muscle spasm, weakness, inability to walk without limp.
•
Low back pain on same side.
•
These symptoms are often worsened with activity and relieved by rest.
Norman
Newcastle
Purcell
2475 Boardwalk
Norman, OK 73069
PH (405) 447-1991
2340 N.W. 32nd
Newcastle, OK 73065
PH (405) 392-3322
2132 N. Green Ave
Purcell, OK 73080
PH (405) 527-1500
www.TherapyInMotion.net
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Physical Therapy Treatment/Management:
Rest- Decreasing activity and allowing the muscle to rest during the initial stages of
injury are recommended to prevent further injury and allow proper healing.
Ice- Ice placed on the front of the hip can help to reduce swelling, inflammation, and
pain in the inflamed muscle.
Heat- Use of heating pad or taking hot bath can help heat and relax the muscle.
Modalities: Use of ultrasound, e-stim, and whirlpool can help to increase circulation
and promote healing.
Massage: Massaging the iliacus and psoas major can help to promote healing in the
injured area.
Stretching- Pain free stretching of the psoas muscle can be performed in standing, side
lying, or lying down or manually by a therapist in order to improve flexibility of the hip
flexors.
Medication- Anti-inflammatory medications can be taken to reduce swelling and pain.
Exercises- Progressive pain free exercises can help to strengthen the Psoas muscle
and prevent muscle strain from reoccurring.
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